Individual provider Active NPI

Lucretia Collins, LPC/A

  • Professional Counselor
  • Anderson, SC
National Provider Identifier
1326700667
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7819 Issued in SC
Practice address
126 Broadbent Way
Anderson, SC 29625-1520
Phone
(864) 406-6041
Fax
(864) 406-6042
NPI assigned
Oct 13, 2021
Last updated
Oct 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7819 SC Primary

Addresses

Primary practice location

126 Broadbent Way
Anderson, SC 29625-1520

Mailing address

107 Kingshill Dr
Anderson, SC 29625-5228
Phone (864) 406-6041

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address counselor100@live.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7819SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Firm Foundations Counseling and Consulting, LLC Professional PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1326700667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 KINGSHILL DR",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296255228",
            "telephone_number": "864-406-6041",
            "fax_number": "864-406-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 BROADBENT WAY",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296251520",
            "telephone_number": "864-406-6041",
            "fax_number": "864-406-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "LUCRETIA",
        "credential": "LPC/A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "7819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "counselor100@live.com",
            "affiliation": "N",
            "address_1": "126 Broadbent Way",
            "city": "Anderson",
            "state": "SC",
            "country_code": "US",
            "postal_code": "296251520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.